TriCities Spine

320 Bristol West Blvd., Suite 2B, Bristol, TN 37620 | Phone: 423.844.6407
TriCities Spine is a subsidiary of Bristol Neurosurgical Associates, the practice of Jim C. Brasfield, MD.

 
           
             
  Home >> Treatment >> Nonsurgical Care
  z

Nonsurgical Care

Return to Activity | Diagnostics | Pain Relief | Time | Limiting Rest | Physical Therapy | Exercise | Types of Medication

neck exercises bristol, Spine surgeon second opinion Tennessee, Spine surgery second opinion Tennessee, Second opinion for spine surgery Tennessee, Second opinion for back surgery Tennessee, Second opinion for neck surgery Tennessee, Spine surgeon Tennessee, Spine center of excellence Tennessee, Laser spine surgery Tennessee, Home remedies for back pain Tennessee, Home remedy back pain Tennessee, Herniated disc Tennessee, Non-surgical treatment options for back pain Tennessee, Artificial disc replacement Tennessee, physiatrist bristol

 

Return to Activity

The primary goal of treatment is to get you back to your everyday activities. During your initial visit, the physician will assess your medical history and collect more specific information during the exam. In order to better understand your back or neck problem, the physician may gently move your joints and limbs. It is important to answer all the physician’s questions honestly, because your answers help determine a correct diagnosis.

Types of diagnostics you may encounter:

  • X-rays show bones and the space between bones. Although X-rays are of limited value to muscle-related back pain cases, your physician may conduct X-rays to detect possible fractured vertebrae or narrowing of disc space.
  • MRIs (Magnetic Resonance Imaging) and CT scans provide images of soft tissues and nerves in the spine, including discs and joints. This is valuable information to your physician in determining the cause of your pain. These tests provide a medical photograph of your body and are painless.
  • Pain-relieving injections can relieve back pain and provide important information about your problem.
  • Myelograms can reveal the amount of damage in the spine. They are used to determine if surgery is necessary. If it is, myelograms provide a surgeon with key information to ensure the success of surgery.

Pain Relief

 

neck exercises bristol, Spine surgeon second opinion Tennessee, Spine surgery second opinion Tennessee, Second opinion for spine surgery Tennessee, Second opinion for back surgery Tennessee, Second opinion for neck surgery Tennessee, Spine surgeon Tennessee, Spine center of excellence Tennessee, Laser spine surgery Tennessee, Home remedies for back pain Tennessee, Home remedy back pain Tennessee, Herniated disc Tennessee, Non-surgical treatment options for back pain Tennessee, Artificial disc replacement Tennessee, physiatrist bristol

Doctors who focus mainly on pain symptoms often recommend the exact opposite course of action that is optimal for recovery from a back problem. For example, years ago, doctors treated back pain with bed rest and heavy drugs in order to mask the patient’s discomfort. Patients became sedentary and increasingly dependent on drugs. It was later discovered that this treatment was actually damaging to the back, because it weakened muscles and caused more pain.

Pain is a signal from the body to the brain that something is wrong. Either a certain motion placed too much strain on the back, or the back is too weak or inflexible. Your specialist will help determine the origin of your pain and the best treatment for it. More about pain relief.

Give it Some Time

Time is your most valuable asset. In cases where pain is focused in the low back or when there are NO RED FLAG SYMPTOMS,take the time to help yourself. Check out the home therapy section of this site for ways to treat your neck and back pain yourself.

Top of Page

Limiting Rest

In 1986, the New England Journal of Medicine released that the treatment of most back pain cases should involve no more than two days of rest and inactivity. After that, patients should start moving and exercising to strengthen back muscles and increase flexibility. The rehabilitative process requires a commitment on the part of the patient to work closely with a therapist during the first few weeks to ensure a successful long-term recovery.

While drugs and manipulation may relieve initial pain, neither of these alters the musculature of the back, which is essential for long-term recovery. Only exercise can strengthen the back muscles and make them more flexible and resistant to future strain.

Physical Therapy

Physical therapy increases flexibility and strengthens muscles that support the spine. Greater strength and flexibility will help prevent future back strain. A therapist may use ultrasound, electrical stimulation, heat or ice, mobilization and exercises to reduce pain and the likelihood of future injury. Click here to learn more about physical therapy.

Exercise

Years ago, the prescription for pain was bed rest. However, we know today that more than a few days of bed rest after an injury can be counterproductive to rehabilitation.

Exercise and movement actually help tissues in the back become stronger, more supportive of the back and resistant to additional injury. Specific exercises can be used to target particular types of back pain. Engaging in activity acts as a lubricant to the back muscles and joints, and it’s as necessary to recovery as oil is to the hinge in a squeaky door.

It is important to work with a therapist to make sure exercises are done properly. Never do any exercise that causes pain to your back. Click here to learn about specific back pain exercises.

Top of Page

 

Spinal Injection
View enlarged image

Injection Therapy

For years, spine physicians have used cortisone injections, epidural steroid injections, trigger point injections and nerve blocks to relieve pain in the spine. They are often provided in a series of three or four injections spanned over a couple weeks.

These injections are intended as a means to an end. The goal is to provide enough pain relief to bridge the patient from being inactive to being able to attend physical therapy, where they can better treat their back problems with special exercises.

There has been conflicting research about the value of injection therapy. Some studies have questioned the benefit of epidural steroid injections. In 1997, Britain's Royal College of General Practitioners noted in its back care guidelines that epidural steroid injections relieve low back pain with sciatica (leg pain) better than some other treatments. The Royal College is less supportive of facet joint injections and trigger point injections. It sees little evidence that these injections improve clinical outcomes. With that said, many spine specialty centers believe in the benefit of injections and continue to use them.

To come to a definitive conclusion regarding its proven benefit, injection therapy needs to undergo further testing. Some experts theorize that there may be some placebo effect associated with the relief that accompanies an injection. In any case, when a patient gains relief from an injection, it reinforces a physician's desire to use that treatment again.

Types of Medication

Medications can lessen swelling and reduce pain in the back and neck. The type of medication your physician recommends depends on your symptoms and your level of pain.

At home, pain can be relieved with Non-Steroidal Anti-Inflammatory Drugs (NSAID), such as ibuprofen products like Motrin or Advil. Aspirin may also be recommended to ease pain.

Top of Page

 

Quick navigation links: Home | Sitemap | Patient Rights | About TriCities Spine in Bristol, Tennessee | Our Team Approach | Virtual Tour | Physician Bios: Dr. Jim C. Brasfield | Dr. Fred Terry | Locations | In the News | Success Stories | Choosing a Doctor | Clinical Outcomes | On-the-Job Injury | E-Cure | Spine Problems | Back Pain | Neck Pain | Degenerative Disc | Herniated Disc | Bone Spur | Stenosis | Scoliosis | Kyphosis | Spondylolysis | Spinal Tumor | Treatment | Home Therapy | Injection Therapy | Physical Therapy | PM&R | Nonsurgical Care | Surgical Options | Minimally Invasive Surgery | Artificial Disc | Educational Resources | Symptoms Chart | Anatomy Library | Medical Animations | Exercise Library | Proper Lifting | Pain Prevention | Pain Relief | Contact TriCities Spine in Bristol, TN | Appointments | Referrals | Second Opinions | Billing & Insurance

Need more information on back and neck pain?
Click here to view resource books on spine problems, what causes back pain, what causes neck pain and when to see the doctor.

 

PRIZM
Web design & Copyright © 2008 Prizm Development, Inc.,
the most experienced developer of spine centers of excellence.
www.prizmdevelopment.com

books
 
   
 Exercise Library

TriCities Spine Exercise Library

Stretching and exercising provide ample benefits to back and neck pain sufferers: pain relief, strengthening, increased flexibility, and more. Select the above image to view our Exercise Library.

Anatomy Library

TriCities Spine Anatomy Library

Medical illustrations and descriptions may help you to understand what causes back or neck pain. Select the above image to view our Anatomy Library.

Medical Animations

TriCities Spine Medical Animations

In addition to the illustrations featured in our Anatomy Library, you will find interactive, step-by-step video presentations that explain spine conditions and the available treatment procedures.

Nonsurgical Treatment

Nonsurgical Treatment at TriCities Spine

Our nonsurgical emphasis in treating back and neck problems is often successful in helping people return to activity without surgery. Select the above image to learn more about Nonsurgical Care.

A Team Approach

A Team Approach to Back & Neck Pain Treatment

TriCities Spine provides all the specialists, diagnostic, and rehabilitation facility, all under one roof. Select the above image to learn more about our team approach to the treatment of back and neck pain.

Details of Spine Problems

Details About Spine Problems

Our Spine Problems resource describes the symptoms, causes, and treatment options for spine conditions affecting the back and neck. Select the above image to view our Spine Problems section.